Heights University Hospital

All Charges

Charge

Type

Setting

Price

SCREW LG LCK 15.8Dx55 11811520

Facility

$946.90

Hospital Charge Code	270639204
Hospital Revenue Code	278
Min. Negotiated Rate	$142.03
Max. Negotiated Rate	$229.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$189.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$229.15
Rate for Payer: Qualcare PPO/HMO/WC	$142.03

SCREW LG THD HD CAN 4X42MM

Facility

$1,086.25

Service Code	HCPCS C1713
Hospital Charge Code	270701515
Hospital Revenue Code	278
Min. Negotiated Rate	$162.94
Max. Negotiated Rate	$262.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$217.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$262.87
Rate for Payer: Qualcare PPO/HMO/WC	$162.94

SCREW LG THD HD CAN 4X42MM

Facility

$1,086.25

Service Code	HCPCS C1713
Hospital Charge Code	270701515
Hospital Revenue Code	278
Min. Negotiated Rate	$162.94
Max. Negotiated Rate	$543.12
Rate for Payer: Aetna Commercial	$325.88
Rate for Payer: Aetna Medicare Advantage	$325.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$276.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$276.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$217.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$276.99
Rate for Payer: Cigna Commercial	$543.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$262.87
Rate for Payer: Qualcare PPO/HMO/WC	$162.94

SCREW LINESIDER 6.5 X 4.5 MM

Facility

$10,750.00

Service Code	HCPCS C1713
Hospital Charge Code	270694036
Hospital Revenue Code	278
Min. Negotiated Rate	$1,612.50
Max. Negotiated Rate	$5,375.00
Rate for Payer: Aetna Commercial	$3,225.00
Rate for Payer: Aetna Medicare Advantage	$3,225.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,741.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,741.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,150.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,741.25
Rate for Payer: Cigna Commercial	$5,375.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,601.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,612.50

SCREW LINESIDER 6.5 X 4.5 MM

Facility

$10,750.00

Service Code	HCPCS C1713
Hospital Charge Code	270694036
Hospital Revenue Code	278
Min. Negotiated Rate	$1,612.50
Max. Negotiated Rate	$2,601.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,150.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,601.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,612.50

SCREW LINESIDER 7.5 X 40 MM

Facility

$10,750.00

Service Code	HCPCS C1713
Hospital Charge Code	270694037
Hospital Revenue Code	278
Min. Negotiated Rate	$1,612.50
Max. Negotiated Rate	$2,601.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,150.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,601.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,612.50

SCREW LINESIDER 7.5 X 40 MM

Facility

$10,750.00

Service Code	HCPCS C1713
Hospital Charge Code	270694037
Hospital Revenue Code	278
Min. Negotiated Rate	$1,612.50
Max. Negotiated Rate	$5,375.00
Rate for Payer: Aetna Commercial	$3,225.00
Rate for Payer: Aetna Medicare Advantage	$3,225.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,741.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,741.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,150.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,741.25
Rate for Payer: Cigna Commercial	$5,375.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,601.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,612.50

SCREW LINESIDER 7.5 X 45 MM

Facility

$10,750.00

Service Code	HCPCS C1713
Hospital Charge Code	270694029
Hospital Revenue Code	278
Min. Negotiated Rate	$1,612.50
Max. Negotiated Rate	$5,375.00
Rate for Payer: Aetna Commercial	$3,225.00
Rate for Payer: Aetna Medicare Advantage	$3,225.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,741.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,741.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,150.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,741.25
Rate for Payer: Cigna Commercial	$5,375.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,601.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,612.50

SCREW LINESIDER 7.5 X 45 MM

Facility

$10,750.00

Service Code	HCPCS C1713
Hospital Charge Code	270694029
Hospital Revenue Code	278
Min. Negotiated Rate	$1,612.50
Max. Negotiated Rate	$2,601.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,150.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,601.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,612.50

SCREW LINEUM 3.5 X 12MM

Facility

$11,735.00

Service Code	HCPCS C1713
Hospital Charge Code	270693059
Hospital Revenue Code	278
Min. Negotiated Rate	$1,760.25
Max. Negotiated Rate	$2,839.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,347.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,839.87
Rate for Payer: Qualcare PPO/HMO/WC	$1,760.25

SCREW LINEUM 3.5 X 12MM

Facility

$11,735.00

Service Code	HCPCS C1713
Hospital Charge Code	270693059
Hospital Revenue Code	278
Min. Negotiated Rate	$1,760.25
Max. Negotiated Rate	$5,867.50
Rate for Payer: Aetna Commercial	$3,520.50
Rate for Payer: Aetna Medicare Advantage	$3,520.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,992.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,992.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,347.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,992.43
Rate for Payer: Cigna Commercial	$5,867.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,839.87
Rate for Payer: Qualcare PPO/HMO/WC	$1,760.25

SCREW LISFRANC 3.7 X40MM CHARL

Facility

$11,310.00

Service Code	HCPCS C1718
Hospital Charge Code	270701065
Hospital Revenue Code	278
Min. Negotiated Rate	$1,696.50
Max. Negotiated Rate	$2,737.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,262.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,737.02
Rate for Payer: Qualcare PPO/HMO/WC	$1,696.50

SCREW LISFRANC 3.7 X40MM CHARL

Facility

$11,310.00

Service Code	HCPCS C1718
Hospital Charge Code	270701065
Hospital Revenue Code	278
Min. Negotiated Rate	$1,696.50
Max. Negotiated Rate	$5,655.00
Rate for Payer: Aetna Commercial	$3,393.00
Rate for Payer: Aetna Medicare Advantage	$3,393.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,884.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,884.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,262.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,884.05
Rate for Payer: Cigna Commercial	$5,655.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,737.02
Rate for Payer: Qualcare PPO/HMO/WC	$1,696.50

SCREW LISFRANC 3.7 X 42 MM

Facility

$11,310.00

Service Code	HCPCS C1718
Hospital Charge Code	270701066
Hospital Revenue Code	278
Min. Negotiated Rate	$1,696.50
Max. Negotiated Rate	$5,655.00
Rate for Payer: Aetna Commercial	$3,393.00
Rate for Payer: Aetna Medicare Advantage	$3,393.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,884.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,884.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,262.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,884.05
Rate for Payer: Cigna Commercial	$5,655.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,737.02
Rate for Payer: Qualcare PPO/HMO/WC	$1,696.50

SCREW LISFRANC 3.7 X 42 MM

Facility

$11,310.00

Service Code	HCPCS C1718
Hospital Charge Code	270701066
Hospital Revenue Code	278
Min. Negotiated Rate	$1,696.50
Max. Negotiated Rate	$2,737.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,262.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,737.02
Rate for Payer: Qualcare PPO/HMO/WC	$1,696.50

SCREW LKG 5.0 TI ST 3MM 36MM

Facility

$1,047.35

Service Code	HCPCS C1713
Hospital Charge Code	270696898
Hospital Revenue Code	278
Min. Negotiated Rate	$157.10
Max. Negotiated Rate	$253.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$209.47
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$253.46
Rate for Payer: Qualcare PPO/HMO/WC	$157.10

SCREW LKG 5.0 TI ST 3MM 36MM

Facility

$1,047.35

Service Code	HCPCS C1713
Hospital Charge Code	270696898
Hospital Revenue Code	278
Min. Negotiated Rate	$157.10
Max. Negotiated Rate	$523.67
Rate for Payer: Aetna Commercial	$314.20
Rate for Payer: Aetna Medicare Advantage	$314.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$267.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$267.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$209.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$267.07
Rate for Payer: Cigna Commercial	$523.67
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$253.46
Rate for Payer: Qualcare PPO/HMO/WC	$157.10

SCREW LKG 5.0 VAL ST SD 32MM

Facility

$2,260.00

Service Code	HCPCS C1713
Hospital Charge Code	270691216
Hospital Revenue Code	278
Min. Negotiated Rate	$339.00
Max. Negotiated Rate	$546.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$452.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$546.92
Rate for Payer: Qualcare PPO/HMO/WC	$339.00

SCREW LKG 5.0 VAL ST SD 32MM

Facility

$2,260.00

Service Code	HCPCS C1713
Hospital Charge Code	270691216
Hospital Revenue Code	278
Min. Negotiated Rate	$339.00
Max. Negotiated Rate	$1,130.00
Rate for Payer: Aetna Commercial	$678.00
Rate for Payer: Aetna Medicare Advantage	$678.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$576.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$576.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$452.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$576.30
Rate for Payer: Cigna Commercial	$1,130.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$546.92
Rate for Payer: Qualcare PPO/HMO/WC	$339.00

SCREW LKG 5.0X26MM

Facility

$2,260.00

Service Code	HCPCS C1713
Hospital Charge Code	270699498
Hospital Revenue Code	278
Min. Negotiated Rate	$339.00
Max. Negotiated Rate	$546.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$452.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$546.92
Rate for Payer: Qualcare PPO/HMO/WC	$339.00

SCREW LKG 5.0X26MM

Facility

$2,260.00

Service Code	HCPCS C1713
Hospital Charge Code	270699498
Hospital Revenue Code	278
Min. Negotiated Rate	$339.00
Max. Negotiated Rate	$1,130.00
Rate for Payer: Aetna Commercial	$678.00
Rate for Payer: Aetna Medicare Advantage	$678.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$576.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$576.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$452.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$576.30
Rate for Payer: Cigna Commercial	$1,130.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$546.92
Rate for Payer: Qualcare PPO/HMO/WC	$339.00

SCREW LKG 5.0X90MM XL25

Facility

$2,730.00

Service Code	HCPCS C1713
Hospital Charge Code	270699361
Hospital Revenue Code	278
Min. Negotiated Rate	$409.50
Max. Negotiated Rate	$660.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$546.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$660.66
Rate for Payer: Qualcare PPO/HMO/WC	$409.50

SCREW LKG 5.0X90MM XL25

Facility

$2,730.00

Service Code	HCPCS C1713
Hospital Charge Code	270699361
Hospital Revenue Code	278
Min. Negotiated Rate	$409.50
Max. Negotiated Rate	$1,365.00
Rate for Payer: Aetna Commercial	$819.00
Rate for Payer: Aetna Medicare Advantage	$819.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$696.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$696.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$546.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$696.15
Rate for Payer: Cigna Commercial	$1,365.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$660.66
Rate for Payer: Qualcare PPO/HMO/WC	$409.50

SCREW LKG 5X25MM

Facility

$2,480.00

Service Code	HCPCS C1713
Hospital Charge Code	270699233
Hospital Revenue Code	278
Min. Negotiated Rate	$372.00
Max. Negotiated Rate	$600.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$496.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$600.16
Rate for Payer: Qualcare PPO/HMO/WC	$372.00

SCREW LKG 5X25MM

Facility

$2,480.00

Service Code	HCPCS C1713
Hospital Charge Code	270699233
Hospital Revenue Code	278
Min. Negotiated Rate	$372.00
Max. Negotiated Rate	$1,240.00
Rate for Payer: Aetna Commercial	$744.00
Rate for Payer: Aetna Medicare Advantage	$744.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$632.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$632.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$496.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$632.40
Rate for Payer: Cigna Commercial	$1,240.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$600.16
Rate for Payer: Qualcare PPO/HMO/WC	$372.00

Know your out-of-pocket cost for care.

All Charges